Individual provider Active NPI

Angela Jack Glasnapp, M.D.

  • Surgery Physician
  • Springfield, NJ
National Provider Identifier
1497076012
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
238763 Issued in NY
Practice address
355 US Highway 22 E
Springfield, NJ 07081-3577
Phone
(516) 616-5500
Fax
(888) 502-6582
NPI assigned
Jun 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25 MA08759500 NJ
Surgery Physician 208600000X 238763 NY Primary

Addresses

Primary practice location

355 US Highway 22 E
Springfield, NJ 07081-3577

Mailing address

125 Mineola Ave Ste 200
Roslyn Heights, NY 11577-2042
Phone (516) 616-5500

Other practice location 1

1441 South Ave
Staten Island, NY 10314-3779
Phone (516) 616-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, CT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110204000769 NJ Practitioner - General Surgery 4385824507 Reassigns benefits to 4 organizations
I20201103002041 NY Practitioner - General Surgery 4385824507 Reassigns benefits to 2 organizations
I20250521001249 CT Practitioner - General Surgery 4385824507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York Medical College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Bariatric New Jersey PCGroup PAC ID 1759635980, 19 clinicians
New York Bariatric Surgery Group PLLCGroup PAC ID 4981045432, 39 clinicians

Practice addresses (Care Compare)

1121 Route 22
Suite 203
Bridgewater, NJ 08807-2983
Phone (516) 616-5500

1441 S Ave
Suite 205
Staten Island, NY 10314-3781
Phone (516) 616-5500

2001 W Main St
Suite 150
Stamford, CT 06902-4542
Phone (516) 616-5500

355 Route 22
Springfield, NJ 07081-3577
Phone (516) 616-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25 MA08759500NJMDSurgery Physician
238763NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Bariatric Surgery Group PLLC CurrentSince Sep 22, 2024 Accepting new patients
Bergen County Improvement Authority CurrentSince Oct 1, 2023 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
St Marys General Medical Group PC Surgery CurrentSince Jul 1, 2023 Accepting new patients
Bergen County Improvement Authority CurrentSince Oct 1, 2023 Accepting new patients
SMGH Physician Practice Management, LLC CurrentSince Sep 3, 2022 Accepting new patients
Bergen County Improvement Authority Past Accepting new patients
Long Island Minimally Invasive Surgery, P.C. PastSince Dec 1, 2021 Accepting new patients

Locations (25 of 34)

140 Sherman St
Fl 2
Fairfield, CT 06824
Phone (203) 255-3451

140 Sherman St
Fl 5
Fairfield, CT 06824
Phone (203) 482-4463

345 Colt Hwy
Farmington, CT 06032
Phone 5166165500 ext. 107

345 Colt Hwy
Ste C
Farmington, CT 06032

2001 W Main St
Ste 150
Stamford, CT 06902
Phone (203) 253-7037

1121 Route 22
Ste 203
Bridgewater, NJ 08807
Phone (908) 237-7412

28 Gibson Blvd
Clark, NJ 07066

1033 Clifton Ave
Clifton, NJ 07013
Phone (973) 473-5700

98 James St
Ste 212
Edison, NJ 08820
Phone (732) 548-1800

98 James St
Ste 103
Edison, NJ 08820
Phone (732) 662-5888

83 Hanover Rd
Ste 190
Florham Park, NJ 07932
Phone (973) 410-9700

230 Sherman Ave
Fl 2
Glen Ridge, NJ 07028
Phone (973) 750-0104

200 Hudson St
Ste 145
Jersey City, NJ 07311
Phone (201) 360-0782

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

1 W Ridgewood Ave
Ste G2
Paramus, NJ 07652
Phone (201) 652-1213

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

350 Boulevard
Ste 100
Passaic, NJ 07055

120 Cedar Grove Ln
Ste T14
Somerset, NJ 08873

355 US Highway 22 E
Springfield, NJ 07081
Phone (908) 325-3000

1680 State Route 23
Ste 180
Wayne, NJ 07470
Phone (484) 934-1070

3795 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (800) 633-8446

340 Broadhollow Rd
Ste 2
Farmingdale, NY 11735

400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392

1200 W Broadway
Ste 9
Hewlett, NY 11557
Phone (800) 633-8446

120 E Main St
Huntington, NY 11743
Phone (631) 300-2484

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: nybg.angelaglasnapp@136202.advancedmd-direct.com
  • Direct secure messaging: aglasnapp53734@epicdirect.rwjbh.org
  • Direct secure messaging: angela.glasnapp@direct.christhospital.md
  • Direct secure messaging: aglasnapp65008@northwell.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1497076012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MINEOLA AVE STE 200",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772042",
            "telephone_number": "516-616-5500",
            "fax_number": "888-502-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 US HIGHWAY 22 E",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813577",
            "telephone_number": "516-616-5500",
            "fax_number": "888-502-6582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 South Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103143779",
            "country_code": "US",
            "telephone_number": "516-616-5500",
            "fax_number": "888-502-6582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASNAPP",
        "first_name": "ANGELA",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25 MA08759500",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "238763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.